Premature ejaculation treatment: real steps to last longer

Worried about finishing too quickly? You’re not alone. Premature ejaculation (PE) is one of the most common sexual concerns for men, and there are simple, proven ways to manage it. You don’t need complex fixes—start with small, practical steps that can help you both physically and mentally.

Practical techniques you can try tonight

Try the stop-start method: during sex or masturbation, stop stimulation just before you feel you’ll ejaculate, wait 20–30 seconds, then start again. Repeat this a few times, then allow orgasm. This trains your body to recognize and control the build-up.

The squeeze technique works similarly: when you’re close, squeeze the head of the penis gently for several seconds until the urge passes, then resume. It takes practice but many men notice fast improvements.

Don’t skip pelvic floor exercises (Kegels). Strong pelvic muscles give you more control. To find them, stop urine midstream—those are the muscles. Do sets of 10 squeezes, three times a day. Over weeks you should feel more control; combine this with breathing and relaxation for better results.

Topical numbing creams (lidocaine/prilocaine) can reduce sensitivity. Apply as directed before sex and wash off if your partner feels numb. Use sparingly and test for allergies first.

Medical options and when to see a doctor

If techniques aren’t enough, medication can help. Dapoxetine is a short-acting SSRI made for PE in some countries and can be taken before sex. Other SSRIs (paroxetine, sertraline) are sometimes used daily off-label and may delay ejaculation. Talk with a clinician about side effects and what fits your health profile.

PDE5 inhibitors (like sildenafil) aren’t direct PE drugs but can help if anxiety or erectile issues make PE worse. Your doctor will check for interactions—especially with nitrates—and review heart health before prescribing.

Sex therapy and cognitive behavioral therapy are very useful when anxiety, relationship stress, or performance fear play a role. A sex therapist can teach techniques and involve your partner, which often speeds progress.

When to see a doctor: if PE causes distress, affects your relationship, or starts suddenly, book a visit. Also see a clinician if you have pain, unusual discharge, or other sexual symptoms—these can signal other conditions.

Be patient. Most approaches need weeks to show steady progress. Combine methods—exercises, behavioral techniques, and partner communication often work best together. Talk openly with your partner, try small changes, and get professional advice when needed. You can regain control and confidence with the right plan.